普拉提运动联合肌内效贴对慢性非特异性颈痛的临床疗效观察  

Clinical observation of Pilates exercise combined with intramuscular patch in the treatment of chronic non-specific neck pain

作　　者：郭钰玮 徐宁[1] 韩文斌 韩茜茜 鹿钦雪 韩晴 端木宪雨 王润芳 Guo Yuwei;Xu Ning;Han Wenbin(Rehabilitation Medical College, Shandong University of Traditional Chinese Medicine, Jinan 250355, China)

机构地区：[1]山东中医药大学康复医学院,济南250355 [2]山东中医药大学附属医院康复科,济南250014 [3]潍坊市人民医院,山东潍坊261041

出　　处：《中国康复》2022年第5期284-288,共5页Chinese Journal of Rehabilitation

基　　金：山东省社会科学规划研究项目(20CZXJ06)。

摘　　要：目的:探究普拉提运动联合肌内效贴(KT)对慢性非特异性颈痛(CNNP)的临床疗效。方法:选取60例符合纳入标准的CNNP患者,采用随机数字表法将其分为普拉提组、KT组及联合组,每组20例。3组患者均接受健康宣教和物理因子治疗;普拉提组在此基础上增加普拉提运动;KT组增加KT治疗;联合组先接受KT治疗,结束后立即进行普拉提运动,持续治疗4周。治疗前、治疗后及治疗后1个月,采用视觉模拟评分(VAS)、颈椎功能障碍指数(NDI)和颈椎各方向活动度对患者颈部疼痛程度、功能障碍及活动度进行评定并比较。结果:与治疗前相比,3组患者治疗后与治疗后1个月时VAS、NDI评分明显降低,颈椎活动度明显增加(均P<0.05)。与治疗后相比,治疗后1个月3组患者的VAS、NDI评分均降低,颈椎活动度均增加(均P<0.05)。治疗后及治疗后1个月,普拉提组上述评分优于KT组,联合组优于普拉提组(均P<0.05)。结论:普拉提运动联合KT治疗可有效缓解CNNP患者的疼痛症状及改善其颈部功能障碍。Objective:To explore the clinical efficacy of Pilates exercise combined with intramuscular patch(KT)in the treatment of chronic non-specific neck pain(CNNP).Methods:A total of 60 patients with CNNP who met the inclusion criteria were randomly divided into three groups:Pilates group(n=20),KT group(n=20)and combined group(n=20).All the patients in the three groups received health education and physical factor therapy.Additionally,the Pilates group was given Pilates exercise,the KT group KT treatment,and the combined group KT treatment first,followed by Pilates exercise immediately after the end of the treatment for 4 weeks.Before treatment,after treatment,and 1 month after treatment,the degree of neck pain,dysfunction and range of motion were evaluated and compared by visual analog score(VAS),cervical dysfunction index(NDI)and range of motion in all directions.Results:Compared with those before treatment,the scores of VAS and NDI decreased significantly and the range of motion of cervical vertebrae increased significantly in the three groups immediately after treatment and 1 month after treatment(P<0.05).Compared with those after treatment,the scores of VAS and NDI in the three groups decreased and the range of motion of cervical vertebrae increased 1 month after treatment(P<0.05),those in the Pilates group were better than the KT group,those in the combination group were better than the Pilates group,and the difference was statistically significant.Conclusion:Pilates exercise combined with KT can effectively relieve pain symptoms and improve neck dysfunction in patients with CNNP.

关 键 词：慢性非特异性颈痛 普拉提 肌内效贴 功能障碍 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]